AME Case Analysis & Practical Application 2

Question 1

A 45-year-old commercial pilot presents for a Second-Class medical. His blood pressure reads 158/96 mmHg. What is the appropriate AME action?

Accepted Answer

Allow a repeat measurement after the applicant rests; if still elevated, evaluate further

Answer

FAA protocol allows AMEs to take multiple blood pressure readings and allow the applicant to rest before making a determination. Persistent elevation may require deferral or additional evaluation.

Question 2

During an exam, the AME notices the applicant has a mild tremor in both hands. The applicant is 60 years old and reports it as 'essential tremor.' What is the correct course of action?

Accepted Answer

Perform a standard neurological exam and defer to AMCD with findings if the tremor could affect duties

Answer

Essential tremor is not automatically disqualifying, but the AME must assess functional impact. If the tremor could impair the safe performance of duties, the case should be deferred to the AMCD.

Question 3

An applicant discloses a history of alcohol use disorder 4 years ago and has been in continuous sobriety. How should the AME proceed?

Accepted Answer

Defer to AMCD; substance use disorder history requires FAA evaluation and potential HIMS AME involvement

Answer

History of alcohol use disorder triggers the HIMS (Human Intervention Motivation Study) AME process. The case must be deferred to AMCD unless the AME is a qualified HIMS AME with an established Authorization.

Question 4

A 52-year-old ATP applicant presents for a First-Class medical renewal. His resting ECG shows a new right bundle branch block (RBBB) compared to his prior exam. What should the AME do?

Accepted Answer

Defer to AMCD; new RBBB requires cardiology evaluation before issuance

Answer

A new RBBB on ECG, particularly in a pilot over 40, must be deferred to the AMCD for cardiology evaluation, as it may indicate underlying structural or ischemic cardiac disease.

Question 5

An applicant presents with controlled Type 2 diabetes managed with metformin alone, with a recent HbA1c of 6.4%. What is the appropriate certification action under current FAA CACI policy?

Accepted Answer

Issue the certificate; metformin-controlled diabetes meeting CACI criteria qualifies for AME issuance

Answer

Per current FAA CACI criteria, Type 2 diabetes controlled with metformin (a non-hypoglycemic agent) meeting HbA1c and other criteria can be issued by the AME without AMCD deferral.

(AME) Aviation Medical Examiner Certification Practice Test

(AME) Aviation Medical Examiner Certification Practice Test

AME Case Analysis & Practical Application 2